Sunday, August 27, 2017

Thyroid function tests 2

.5 T4T3 Suppression Test
      The high uptake I131 can be further investigated by given T3(1000µg daily) or T4(0.1 mg TDS) for 10 days
*     Iodine deficiency related high uptake will be suppressed
*     While hyperactivity related high uptake due to Grave’s
      disease will not be affected

5. I131 Scan

Fig 31.4a & b
      Scanning helps to establish the functioning ability of nodules in comparison to adjoining tissue, excessive autonomous function of a nodule will result in suppression of rest of the thyroid (Hot Nodule), while decreased function will show up as a hollow in the scan contours (Cold nodule). These scans can also be done using techneium this scan can be done the same day thus saves patient’s time.

6. F.N.A.C
      Fine needle aspiration cyology is in practice today to obtain information on solitary thyroid nodule cell morphology.

7. Ultrasound Scan
      Ultrasonography can be used in children and pregnant women to obtain thyroid scan morphology without radiation hazards

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